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Individual

AMY LYNN HEITZIG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
620 W BRIDGEPORT ST, WHITE HALL, IL 62092-1001
(217) 374-2144
Mailing address
620 W BRIDGEPORT ST, WHITE HALL, IL 62092-1001
(217) 374-2144

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.001512
IL
225200000X
Physical Therapy Assistant
2014037473
MO

Other

Enumeration date
08/06/2014
Last updated
12/04/2018
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